Individual
DR. TERRY DEAN THOMPSON
Active
Individual
DR. TERRY DEAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-004727
IL
111NS0005X
Sports Physician Chiropractor
Primary
038.004727
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038004727
—
IL
01
—
371140723
FEIN
IL
Enumeration date
03/14/2006
Last updated
01/10/2009
Update your record
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